Electronic health card and medical insurance electronic certificate are two different electronic media. The former is based on electronic health records, electronic medical records and three-level information platform, which is used to realize the interconnection and information sharing of medical and health services across systems, institutions and regions, usually in the form of CPU cards; The latter is based on the basic medical insurance information base, which is an electronic media for medical insurance identification generated for the insured. Through real-name authentication technology and encryption algorithm, the insured can enjoy online medical security services, such as medical insurance business handling, account inquiry, medical treatment, drug purchase and payment. Although both of them are related to medical services, their functions and application scenarios are different.
Function and application of electronic health card;
1. Personal information management: The electronic health card can store personal basic information, such as name, gender, date of birth, etc.
2. Health record association: it can be used to associate and view personal electronic health records, including medical records and examination results;
3. Convenient medical services: In terms of registration, medical treatment and payment, electronic health cards can simplify the process and improve efficiency;
4. Cross-hospital service: support the use between different hospitals to facilitate information exchange when patients seek medical treatment;
5. Health information push: it can receive public health service information such as health education and vaccination.
To sum up, electronic health card and medical insurance electronic card are both electronic media, but they serve different medical management systems; The former focuses on cross-system medical information interconnection, while the latter focuses on providing safe online medical security services for the insured. Their functions and application scenarios are different, which reflects the dual role of medical informatization in promoting the convenience and safety of medical services.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope: (1) should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. What are the conditions for medical insurance reimbursement? 1. cooperative medical care designated medical institutions for medical treatment; 2. Original invoice; 3. Medical insurance card and my ID card.